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Arizona rates for HCPCS C2641

Brachytherapy source, nonstranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,511.95 / $10,511.95 / $10,511.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $43.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.84 / $139.91 / $221.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.90 / $44.00 / $87.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.56 / $119.56 / $119.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.65 / $7.28